| Organization Name: | ORTHOSPINE REHABILITATION |
| NPI Number: | 1073792081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMA LEE SEBAG-STOCKSTILL (CEO) |
| Mailing Address: | 501 N Main St. Ste C Harrison |
| State: | AR US |
| Postal Code: | 726012915 |
| Phone Number: | 8705777388 |
| Fax Number: | 8707433581 |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |